Fractures
A patient, age 68, has suffered an intertrochanteric fracture of the right hip. Before surgery, to provide support and comfort, the following is applied for support and comfort:
Bucks traction
An elderly female has fractured her hip in the location of the femoral neck. The nurse, Allyson, explains a possible complication with fractures in the femoral neck is ____________.
Avascular necrosis
The patient reports long bone pain that increases with weight bearing. The health care provider tells the nurse that the patient has an elevated serum alkaline phosphatase. The nurse prepares to give emotional support because the provider must tell the patient that additional diagnostic testing is needed to rule out which condition?
Osteogenic sarcoma
While receiving report for a new admission, you are told the patient is receiving skin traction. What is the maximum weight in pounds that you would apply?
10 pounds
The office nurse has noted the presence of an increase in lumbar curvature in a 20-year-old female patient. What is the condition known as?
Lordosis
Nurse, Lauren, is caring for a patient with a herniated disc. The nurse knows that ______ and ________ herniations are the most common herniated intervertebral disks.
Lumbar, Cervical
The nurse, Connor, is caring for a patient diagnosed with a discolation of the tibia in the upper left extremity. The nurse performs the blanching test, which refers to:
Assessing circulatory status by checking capillary refill
A wrenching or hyperextension injury of a joint that may involve bleeding in the joint is called __________.
Sprain
The nurse, Tamara, is providing education to the patient regarding fracture healing. Which foods should the nurse suggest for the patient with a healing fracture to help the healing phase of the bone?
Leafy green vegetables
The nurse is caring for a client who has suffered a contusion. Which of the following treatments might the nurse use to cause vasoconstriction and reduce edema?
Cold compresses for 15-20 minute periods over the first 12-36 hours
Bivalving a cast involves splitting the cast and wrapping the affected extremity with an ace wrap. Bivalving a cast is performed to assure:
Performed to relieve pressure
You are receiving an admission who will be receiving neurovascular checks every hour during the shift. Which assessments would be included in a neurovascular check?
Capillary refill, movement, temperature and pulses distal to site of injury
A patient arrives to the emergency room following an injury while lifting a heavy box. The nurse explains the injuries are produced by microscopic muscle tears and overstretching of tendons. This defines __________.
Strain
A patient is being prepared for surgery by nurse, Renee. The fractured hip does not require replacement of the parts of the joint, requiring an Open Reduction Internal Fixation (ORIF) of the hip fracture requires use of which hardware?
Utilizing wire, nails, rods (hardware) to repair the fractured bone
The patient is describing the signs and symptoms she is experiencing recently in her right arm and hand. Nurse knows the symptoms of “paresthesia” are correctly defined as:
Any subjective sensation, such as prickling, “pins and needles” feeling or numbness
When caring for musculoskeletal injuries, the RICE mneumonic stands for:
Rest, Ice, Compression, Elevation
The nurse, Deyosha, explains to the emergency room patient that her injury involves hyperextension and flexion of the cervical spine, and is called:
Whiplash
Crutch walking involving the ___________ gait is used most commonly for patients wearing leg casts.
Three-point
Your patient is returning from surgery for his compound fracture to his femur. He is being placed in Russell’s traction. The following is true of Russell’s traction:
It is used with a knee sling to support the leg
The patient continues to complain of pain 5 months following his amputation. The following measure may be implemented to manage phantom pain:
Reamputation at a higher level
A nurse is caring for a client who is in balanced suspension traction. Which type of fracture is being treated with this device?
Femur
A 16-year-old male patient presents in the emergency room with a pathologic fracture of the left femur and complains of pain on weight-bearing. As the nurse, you know that ___________ is a fast growing aggressive tumor that affects males aged 10-25 years of age. These are cardinal indicators of:
Osteogenic sarcoma
A 50 year-old client is diagnosed with intervertebral disk disease. He is scheduled to have a lumbar decompression of the spinal cord caused by degeneration of a disk or to remove displaced vertebral disk. What is the term used for this procedure?
Laminectomy
A significant postoperative nursing intervention for a patient with an amputation is proper care of the stump, including use of elastic wraps to assure:
Reshaping of the stump to facilitate proper fit and use of prosthesis
___________ is the most common soft tissue injury, caused by a blow or blunt force trauma.
Contusion